Zotsatira Zina Zofunikira Ziyenera Kufotokozedwa Kwa Dokotala Wanu Wolondola
Imuran (Azathioprine) ndi chiyani?
Imuran (azathioprine) ndi mtundu wa mankhwala osokoneza bongo a antitimetabolite. Imuran ikhoza kulamulidwa kuti ikhale ndi matenda monga kutupa matumbo (IBD) kapena nyamakazi ya nyamakazi. Ikhoza kugwiritsidwanso ntchito kwa odwala omwe ali ndi kuika thupi, kuti ateteze thupi kuti lisakane limba. Mankhwalawa amaletsa chitetezo cha mthupi.
Nthawi zambiri Imuran imagwiritsidwa ntchito pochiza IBD pambuyo pa mankhwala ena osagwira ntchito. Ikhoza kugwiritsidwanso ntchito panthawi imodzimodzi ndi steroids.
Mankhwala omwe amakhudza chitetezo cha mthupi angapangitse chiopsezo chotenga matenda, ndipo zitha kuchitidwa kuti ziteteze motsutsana ndi matenda. Anthu omwe amatenga Imuran sayenera kulandira katemera aliyense. Zingakhale zofunikira kuti tipewe anthu omwe ali odwala ndipo chizindikiro chilichonse cha matenda ayenera kukambirana ndi adokotala nthawi yomweyo.
Chenjezo la Black Box
Mapiritsi a Imuran ali ndi chenjezo lakuda la bokosi lokhudzana ndi kuthekera kokhala ndi mtundu wina wa khansara. Izi zikugwirizana makamaka kwa anthu omwe amamwa mankhwalawa komanso amakhala ndi IBD. Kuopsa kokhala ndi khansa kuyenera kulemedwa ndi chiopsezo chosasamalira IBD ndi mankhwalawa.
Kuopsa kwa khansa kwa anthu omwe ali ndi IBD ndi nkhani yopitiliza kukambirana ndi kuphunzira, choncho nkofunika kuti mutenge njira yowonongeka mukamaganizira zoopsa.
Kafukufuku wina wasonyeza ngozi, koma ena sanatero. Onetsetsani kuti mungakambirane za zotsatirazi zomwe zingakuvutitseni ndi madokotala anu kuti muthe kumvetsetsa zoopsa zanu.
Kugonana kosalekeza ndi IMURAN, purine antimetabolite kumawonjezera ngozi yowonongeka mwa anthu. Malipoti okhudza matendawa amachititsa kuti munthu asamalidwe matenda a lymphoma komanso hepatosplenic T-cell lymphoma (HSTCL) odwala omwe ali ndi matenda opatsirana. Madokotala akugwiritsa ntchito mankhwalawa ayenera kudziwa bwino chiopsezo chotere komanso ndi mphamvu ya mutagenic kwa amuna ndi akazi komanso ndi mankhwala omwe amachititsa kuti ayambe kudwala. Madokotala ayenera kudziwitsa odwala chiopsezo choipa ndi IMURAN.
Imir Imayambiriro
Afunseni dokotala ngati zotsatirapo zotsatirazi zikupitirira kapena zikuvutitsa:
- kusowa kwa njala
- kunyoza kapena kusanza
Imuran yosiyana ndi zotsatira za Imuran
Afunseni dokotala ngati zotsatirapo zotsatirazi zikupitirira kapena zikuvutitsa:
- Kuthamanga kwa khungu
Muzidziwitsa Dokotala nthawi zonse
Zowonjezereka kwambiri
- Kukhumudwa, mantha
- malungo kapena ziwombankhanga
- kuchepetsa kumbuyo kapena kupweteka kumbali
- zopweteka kapena zovuta
- kutopa kwachilendo, kufooka
Zochepa Zosagwirizana
- Black, tarry stools
- magazi mu mkodzo kapena m'mitsempha
- onetsetsani mawanga ofiira pa khungu
- kutuluka mwachilendo kapena kuvulaza
Zochepa Zochepa Kapena Zosakhalitsa
- Kupsinjika kwa mtima
- malungo (mwadzidzidzi)
- kupweteka kwa minofu kapena kuphatikiza
- kunyoza, kusanza, ndi kutsekula m'mimba (koopsa)
- zofiira kapena zotupa pa khungu
- kupuma pang'ono
- zilonda pakamwa, pamilomo
- ululu wamimba
- kutupa kwa mapazi kapena miyendo yochepa
- kukhumudwa kapena matenda (mwadzidzidzi)
Zina Zolemba:
Dokotala wanu adzayang'anira mavuto aliwonse a chiwindi omwe mankhwalawa angayambitse.
Chifukwa cha momwe mankhwalawa amachitira thupi, pali mwayi woti zingayambitse zina zosayenera zomwe sizikhoza kuchitika mpaka miyezi kapena zaka zitatha mankhwalawo atagwiritsidwa ntchito. Zotsatira zochedwa kuchepetsazi zingakhale ndi mitundu ina ya khansa, monga khansa ya m'magazi, lymphoma, kapena khansara ya khungu. Kuopsa kwa khansa ndikochepa pakati pa anthu omwe amatenga azathioprine kwa nyamakazi, ndipo muyenera kukambirana za zotsatirazi ndi dokotala wanu.
Mutasiya mankhwala awa, pangakhalebe zotsatirapo. Panthawiyi lidziwitse dokotala mwamsanga ngati mwawona chimodzi mwa izi:
- wakuda, tarry stools
- magazi mu mkodzo
- chifuwa kapena mantha
- malungo kapena ziwombankhanga
- kuchepetsa kumbuyo kapena kupweteka kumbali
- zopweteka kapena zovuta
- onetsetsani mawanga ofiira pa khungu
- kutuluka mwachilendo kapena kuvulaza
Zotsatira zina zosawerengedwera pamwambazi zingakhalenso ndi odwala ena. Mukawona zotsatira zina zilizonse, funsani dokotala wanu. Mfundoyi imangokhala ngati chitsogozo - Nthawi zonse funsani dokotala kapena wamankhwala kuti mudziwe zambiri zokhudza mankhwala oyenera.
Chitsime:
Prometheus Laboratories Inc. " Imuran (Azathioprin) Kulemba Zomwe Zilipo ." FDA.gov. Feb 2014..
Armstrong RG, West J, Khadi TR. "Ngozi ya khansa yomwe imatulutsa matenda opatsirana amachititsa azatioprine: ku United States." Am J Gastroenterol . 2010 Jul; 105 (7): 1604-1609.